Compositions and methods for treating friedreich&#39;s ataxia

ABSTRACT

A method of treating Friedreich&#39;s Ataxia with compounds of formula I including pharmaceutically acceptable salts, tautomers or stereoisomers of compounds of formula Lp.

RELATED APPLICATIONS

This application claims the benefit of the filing date of U.S. App. No. 61/332,146 filed May 6, 2010 and U.S. App. No. 61/267,342 filed Dec. 7, 2009, both of which are hereby incorporated by reference for all purposes.

FIELD

The present invention relates generally to compositions and methods useful for the treatment of Friedreich's Ataxia.

BACKGROUND OF THE INVENTION

Friedreich's Ataxia (FRDA) affects >20.000 individuals in Caucasian populations. Generally within 10 to 15 from onset it leads to loss of deambulation and complete disability, with premature death often caused by cardiac insufficiency¹. Symptoms usually appear late in the first decade or early in the second decade of life, and include gait instability and general clumsiness. Skeletal abnormalities, such as scoliosis or pes cavus, may be already present. Gait ataxia has both cerebellar and sensory features, involves truncus and limbs, and is progressive and generally unremitting. Swaying is common and, as it becomes more severe, eventually requires constant support and wheelchair use. Dysarthria occurs early in the disease and progress to complete speech impairment. Dysphagia is a late feature and may require artificial feeding. Ventricular hypertrophy characterizes the cardiac picture, and may progressively lead to congestive heart failure and fatal arrhythmias. A significant minority of patients also develop diabetes mellitus, by not yet clearly defined mechanisms².

FRDA is caused by homozygous hyperexpansion of GAA triplets within the first intron of the FXN gene, an highly conserved five-exon gene located on the long arm of human chromosome 9, coding for the protein frataxin. Pathological GAA expansions (from ˜70 to >1,000 triplets) result in “sticky” DNA structures and epigenetic changes that severely reduce transcription of the FXN gene. FRDA patients live with 10-30% residual frataxin, the severity of the disease being directly proportional to the number of GAA triplets and to the consequent degree of frataxin reduction. A minority of FRDA patients, so called compound heterozygotes, has pathological GAA expansions on one FXN allele and loss-of-function mutations on the other. Complete loss of frataxin is not compatible with life, in all higher species examined³.

Human frataxin is synthesized as a 210 amino acid (aa) precursor that is rapidly targeted to the mitochondria. Upon entrance into the mitochondria, the frataxin precursor undergoes a two-step proteolytic processing, mediated by the mitochondrial protein peptidase (MPP). The resulting mature frataxin is a 130aa globular polypeptide that mostly resides within the mitochondrial matrix^(4,5), but that can be also found outside the mitochondria^(6,7), where it might interact with and regulate cytosolic aconitase/IRP1⁸. Frataxin may bind iron directly and act either as an iron donor^(9,10) or as an iron sensor involved in the proper functioning of the iron-sulphur cluster (ISC) machinery¹¹. Frataxin-defective cells have reduced activity of ISC-containing enzymes, a general imbalance in intracellular iron distribution and increased sensitivity to oxidative stress.

There is currently no specific therapy to prevent the progression of the disease¹². Most therapeutic approaches are aimed at reducing mitochondrial dysfunction and are based on the use of anti-oxidant or iron chelators^(13,14). Beside this, as levels of residual frataxin are crucial in determining the severity of the disease, many efforts have been put in the identification of molecules that increase frataxin transcription^(15,16). However, no studies have been so far reported regarding neither the physiological turnover of this protein in humans, nor any factors that can modulate its stability. Therefore, the comprehension of the molecular mechanisms that regulate frataxin protein stability might provide fundamental information towards the design of new therapeutic approaches.

Although the maturation process of frataxin has been well characterized, no information is available concerning the biology of frataxin degradation. Since the Ubiquitin-Proteasome System (UPS) is the major pathway for regulated intracellular protein degradation in higher eukaryotes, this pathway was investigated for its involvement in the control of frataxin turnover¹⁷.

SUMMARY

Evidence is provided that the UPS regulates frataxin stability. Frataxin turnover can be modulated by proteasome inhibitors and K¹⁴⁷ was identified as the single lysine residue within frataxin that is responsible for its ubiquitination and degradation. Most importantly, by combining structure-based high-throughput virtual screening and experimental validation, a new class of compounds was identified that are able to interact with the K¹⁴⁷-harboring pocket, prevent frataxin ubiquitination, promote frataxin accumulation and correct functional defects in Friedreich's Ataxia cells. Increasing frataxin levels by interfering with frataxin ubiquitination is a method of treating Friedreich's Ataxia.

A first aspect provides a method of treating Friedrich's Ataxia, comprising administering to a subject a therapeutically effective amount of a compound of formula (I) or a pharmaceutically acceptable salt, tautomer or stereoisomer thereof:

wherein:

-   -   L is a linking group selected from the group consisting of         —S(O)₂—NH—(CR₂)_(x)—, —S(O)₂—NH—N═(CR)— and         —S(O)₂—NH—C(O)—NH—(CR₂)_(y)— wherein:         -   R is H or C₁-C₄ alkyl, and         -   x and y are each independently 0, 1 or 2;     -   B is a 5- or 6-membered aromatic ring having 1 or 2 optional         nitrogen heteroatoms;     -   each R^(a) and R^(b) is independently C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, oxo, —NO₂, —CF₃,         —CN, —OR₉, —SR₉, —C(O)R₉, —NHC(O)R₉, —C(O)OR₉, —OC(O)R₉,         —NR₁₀R₁₁, —C(O)NR₁₀R₁₁, —NHR₉C(O)NR₁₀R₁₁, or —SO₂NR₁₀R₁₁, aryl,         arylalkyl, cycloalkyl, or heterocycle, wherein:         -   R₉, R₁₀, and R₁₁ are independently H, C₁-C₆ alkyl, C₂-C₆             alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl,             cycloalkyl, or heterocycle, each being optionally             substituted with one to four substituents, and         -   two R^(a) or two R^(b) together with the atoms to which they             attach on the ring optionally form a ring;     -   s is 0, 1, 2 or 3; and     -   t is 1, 2, 3 or 4.

In a first embodiment of the first aspect each R^(a) is independently C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or —OR₉.

In a second embodiment of the first aspect, each R^(b) is independently C₁-C₆ alkyl, halo, —C(O)OR₉, —C(O)R₉, —NO₂, —CF₃, —CN, or —OR₉.

In a third embodiment of the first aspect, L is —S(O)₂—NH—N═(CH)— and one of the two carbons on ring A ortho to the attachment to L is unsubstituted.

In a fourth embodiment of the first aspect, B is selected from the group consisting of a phenyl group, an imidazole, a pyridine and a pyrimidine.

In a fifth embodiment of the first aspect, the compound is of formula Ia:

In a sixth embodiment of the first aspect, the compound is of formula Ib:

In a seventh embodiment of the first aspect, the compound is of formula Ic:

wherein t is 1, 2 or 3 and the other variables remain as defined with respect to formula I.

In an eighth embodiment of the first aspect, the compound has the structure of formula Id:

wherein R^(a) is halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, or —NO₂; R⁴ and R⁸ are independently H, —OH, or C₁-C₆ alkoxy; and R⁵ and R⁷ are independently H, halo, or —NO₂.

In a ninth embodiment of the first aspect at least one R^(b) is —NO₂.

In a tenth embodiment of the first aspect t is 2 or 3 and at least one R^(b) is a halogen and at least one R^(b) is —NO₂.

In an eleventh embodiment of the first aspect, s is 1, 2 or 3 and at least one R^(a) is a halogen.

In a twelfth embodiment of the first aspect, the compound has the structure of formula XII:

In a thirteenth embodiment of the first aspect, the method of treating Friedreich's Ataxia comprises inhibiting ubiquitination of frataxin.

In a fourteenth embodiment of the first aspect, the method of treating Friedreich's Ataxia comprises elevating intracellular frataxin levels.

A second aspect provides a method of elevating intracellular frataxin levels.

In a first embodiment of the second aspect, elevating intracellular frataxin levels is accomplished by inhibiting ubiquitination of frataxin.

In a second embodiment of the second aspect, elevating intracellular frataxin levels is accomplished by blocking binding by ubiquitin of lysine 147 of frataxin.

In a third embodiment of the second aspect the blocking of binding by ubiquitin of lysine 147 of frataxin is accomplished by a compound having the structure of formula I, Ia, Ib, Ic, Id or XII.

A third aspect provides a method of inhibiting the ubiquitination of frataxin, comprising blocking binding by ubiquitin of lysine 147 of frataxin, wherein frataxin has the sequence of SEQ ID NO:1.

In a first embodiment of the third aspect the blocking of binding by ubiquitin of lysine 147 of frataxin is accomplished by a compound having the structure of formula I, Ia, Ib, Ic, Id or XII.

A fourth aspect provides a method of identifying an agent that inhibits ubiquitination of frataxin thereby elevating the intracellular levels of frataxin, comprising the steps of: providing an agent; contacting the agent with frataxin or a fragment thereof; measuring a signal correlated with a lack of ubiquitination or a lack of frataxin degradation; and determining whether said agent inhibits ubiquitination of frataxin.

In a first embodiment of the fourth aspect, determining whether said agent inhibits ubiquitination of frataxin comprises measuring intracellular frataxin levels.

In a second embodiment of the fourth aspect, the method further comprises the step of designing an agent based upon a three-dimensional structure of a frataxin binding pocket defined by the structural coordinates of at least amino acid residues 92-106, 126-132, and 144-156 of native frataxin (SEQ ID: 1).

In a second embodiment of the fourth aspect, the three-dimensional structure of the frataxin binding pocket is determined using X-ray crystallography.

In a third embodiment of the fourth aspect, the three-dimensional structure of the frataxin binding pocket is determined using protein NMR.

In a fifth aspect of the invention, pharmaceutical compositions comprising a compound of one of structures I, Ia, Ib, Ic, Id or XII are provided.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 illustrates that frataxin levels are controlled by proteasome-mediated degradataion.

FIG. 2 illustrates that frataxin can be mono- and poly-ubiquitinated in vivo.

FIG. 3 illustrates that K¹⁴⁷ is the main ubiquitination target.

FIG. 4 illustrates that K¹⁴⁷ is part of a druggable molecular surface.

FIG. 5 illustrates that ubiquitin-competing molecules prevent frataxin ubiquitination.

FIG. 6 illustrates that ubiquitin-competing molecules induce frataxin accumulation and rescue both aconitase and ATP defects in FRDA lymphoblasts.

FIG. 7 illustrates that ubiquitin-competing molecules induce frataxin accumulation and rescue ATP defects in FRDA fibroblasts.

FIG. 8 illustrates that ubiquitin-competing molecules induce frataxin accumulation in HEK-293 cells.

FIG. 9 illustrates additional compounds are effective in inducing frataxin accumulation in FRDA lymphoblasts.

DETAILED DESCRIPTION

Described herein are compositions and methods for the treatment of Freidrich's Ataxia. The present disclosure relates to the surprising discovery that Freidrich's Ataxia can be treated by inhibiting degradation of frataxin by the Ubiquitin-Proteasome System. Frataxin is directly modified by ubiquitin, and lysine¹⁴⁷ is the critical residue responsible for frataxin ubiquitination and subsequent degradation.

Described herein are compounds and methods for treating Friedreich's Ataxia. In some aspects, methods of treating Friedreich's Ataxia are described, wherein the frataxin molecular pocket harboring lysine¹⁴⁷ is targeted. In further aspects, methods for inhibiting frataxin ubiquitination and degradation are described, wherein the molecular pocket harboring lysine¹⁴⁷ is targeted. In further aspects, methods for increasing frataxin levels are described, wherein the molecular pocket harboring lysine¹⁴⁷ is targeted.

The present disclosure describes for the first time the site of frataxin ubiquitination as the molecular pocket harboring lysine¹⁴⁷. In certain aspects, the present disclosure provides a description of the molecular pocket harboring lysine¹⁴⁷. In further aspects, methods of blocking ubiquitin from accessing the molecular pocket harboring lysine¹⁴⁷ are provided.

In certain aspects, compounds are provided for inhibiting ubiquitin-mediated degradation by targeting the frataxin molecular pocket harboring lysine¹⁴⁷. The compounds of the present disclosure may be any compound capable of inhibiting ubiquitin-mediated degradation of frataxin by targeting the molecular pocket harboring lysine¹⁴⁷. For instance, the compounds of the present disclosure may be small molecules, peptides, or any agent capable of targeting the molecular pocket. In further aspects, the compounds of the present disclosure are used to treat Friedreich's Ataxia by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷. In further aspects, the compounds of the present disclosure are used to increase frataxin levels by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷.

DEFINITIONS

Unless otherwise stated, the following terms used in this application, including the specification and claims, have the definitions given below. It must be noted that, as used in the specification and the appended claims, the singular forms “a,” “an” and “the” include plural referents unless the context clearly dictates otherwise. Definition of standard chemistry terms may be found in reference works, including Carey and Sundberg (2007) “Advanced Organic Chemistry 5^(th) Ed.” Vols. A and B, Springer Science+Business Media LLC, New York. The practice of the present invention will employ, unless otherwise indicated, conventional methods of synthetic organic chemistry, X-ray crystallography, protein NMR, mass spectroscopy, protein chemistry, biochemistry, preparative and analytical methods of chromatography, recombinant DNA techniques and pharmacology, within the skill of the art.

Any terms not directly defined herein shall be understood to have the meanings commonly associated with them as understood within the art of the invention. Certain terms are discussed herein to provide additional guidance to the practitioner in describing the compositions, devices, methods and the like of aspects of the invention, and how to make or use them. It will be appreciated that the same thing can be said in more than one way. Consequently, alternative language and synonyms can be used for any one or more of the terms discussed herein. No significance is to be placed upon whether or not a term is elaborated or discussed herein. Some synonyms or substitutable methods, materials and the like are provided. Recital of one or a few synonyms or equivalents does not exclude use of other synonyms or equivalents, unless it is explicitly stated. Use of examples, including examples of terms, is for illustrative purposes only and does not limit the scope and meaning of the aspects of the invention herein.

The term “alkenyl” as used herein contemplates substituted or unsubstituted, straight and branched chain alkene radicals, including both the E- and Z-forms, containing from two to eight carbon atoms. The alkenyl group may be optionally substituted with one or more substituents selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

The term “alkyl” as used herein contemplates substituted or unsubstituted, straight and branched chain alkyl radicals containing from one to fifteen carbon atoms. The alkyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

The term “alkoxy” as used herein contemplates an oxygen with a C₁-C₆ alkyl group as a substituent and includes methoxy, ethoxy, butoxy, trifluoromethoxy and the like. It also includes divalent substituents linked to two separated oxygen atoms such as, without limitation, —O—(CH₂)₁₋₄—O—, —O—(CH₂)₁₋₄—O—(CH₂CH₂—O)₁₋₄— and —(O—CH₂CH₂—O)₁₋₄—.

The term “alkynyl” as used herein contemplates substituted or unsubstituted, straight and branched carbon chain containing from two to eight carbon atoms and having at least one carbon-carbon triple bond. The term alkynyl includes, for example ethynyl, 1-propynyl, 2-propynyl, 1-butynyl, 3-methyl-1-butynyl and the like. The alkynyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

“Antibody” refers to a polypeptide comprising a framework region from an immunoglobulin gene or fragments thereof that specifically binds and recognizes an antigen. The recognized immunoglobulin genes include the kappa, lambda, alpha, gamma, delta, epsilon, and mu constant region genes, as well as the myriad immunoglobulin variable region genes. Light chains are classified as either kappa or lambda. Heavy chains are classified as gamma, mu, alpha, delta, or epsilon, which in turn define the immunoglobulin classes, IgG, IgM, IgA, IgD and IgE, respectively. Typically, the antigen-binding region of an antibody will be most critical in specificity and affinity of binding.

The terms “aryl” as used herein contemplates substituted or unsubstituted single-ring and multiple aromatic groups (for example, phenyl, pyridyl and pyrazole, etc.) and polycyclic ring systems (naphthyl and quinolinyl, etc.). The polycyclic rings may have two or more rings in which two atoms are common to two adjoining rings (the rings are “fused”) wherein at least one of the rings is aromatic, e.g., the other rings can be cycloalkyls, cycloalkenyls, aryl, heterocycles and/or heteroaryls. The aryl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

The term “arylalkyl” as used herein contemplates a C₁-C₆ alkyl group which has as a substituent an aromatic group, which aromatic group may be substituted or unsubstituted. The aralkyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

The term “cycloalkyl” as used herein contemplates substituted or unsubstituted cyclic alkyl radicals containing from three to twelve carbon atoms and includes cyclopropyl, cyclopentyl, cyclohexyl and the like. The term “cycloalkyl” also includes polycyclic systems having two rings in which two or more atoms are common to two adjoining rings (the rings are “fused”). The cycloalkyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

The term “halo” or “halogen” as used herein includes fluorine, chlorine, bromine and iodine.

The term “heterocycle” as used herein contemplates substituted or unsubstituted aromatic and non-aromatic cyclic radicals having at least one heteroatom as a ring member. Preferred heterocyclic groups are those containing five or six ring atoms which includes at least one hetero atom and includes cyclic amines such as morpholino, piperidino, pyrrolidino and the like and cyclic ethers, such as tetrahydrofuran, tetrahydropyran and the like. Aromatic heterocyclic groups, also termed “heteroaryl” groups, contemplates single-ring hetero-aromatic groups that may include from one to three heteroatoms, for example, pyrrole, furan, thiophene, imidazole, oxazole, thiazole, triazole, pyrazole, oxodiazole, thiadiazole, pyridine, pyrazine, pyridazine, pyrimidine and the like. The term heteroaryl also includes polycyclic hetero-aromatic systems having two or more rings in which two or more atoms are common to two adjoining rings (the rings are “fused”) wherein at least one of the rings is a heteroaryl, e.g., the other rings can be cycloalkyls, cycloalkenyls, aryl, heterocycles and/or heteroaryls. Examples of polycyclic heteroaromatic systems include quinoline, isoquinoline, cinnoline, tetrahydroisoquinoline, quinoxaline, quinazoline, benzimidazole, benzofuran, benzothiophene, benzoxazole, benzothiazole, indazole, purine, benzotriazole, pyrrolepyridine, pyrrazolopyridine and the like. The heterocyclic group may be optionally substituted with one or more substituents selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle.

“Pharmaceutically acceptable salt” refers to a salt of a compound of the invention which is made with counterions understood in the art to be generally acceptable for pharmaceutical uses and which possesses the desired pharmacological activity of the parent compound. Such salts include: (1) acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3-(4-hydroxybenzoyl)benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1,2-ethane-disulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, 4-toluenesulfonic acid, camphorsulfonic acid, 4-methylbicyclo[2.2.2]-oct-2-ene-1-carboxylic acid, glucoheptonic acid, 3-phenylpropionic acid, trimethylacetic acid, tertiary butylacetic acid, lauryl sulfuric acid, gluconic acid, glutamic acid, hydroxynaphthoic acid, salicylic acid, stearic acid, muconic acid and the like; or (2) salts formed when an acidic proton present in the parent compound is replaced by a metal ion, e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic base such as ethanolamine, diethanolamine, triethanolamine, N-methylglucamine, morpholine, piperidine, dimethylamine, diethylamine and the like. Also included are salts of amino acids such as arginates and the like, and salts of organic acids like glucurmic or galactunoric acids and the like (see, e.g., Berge et al., 1977, J. Pharm. Sci. 66:1-19).

“Specific binding” refers to the ability of two molecules to bind to each other in preference to binding to other molecules in the environment. Typically, “specific binding” discriminates over adventitious binding in a reaction by at least two-fold, more typically by at least 10-fold, often at least 100-fold. Typically, the affinity or avidity of a specific binding reaction, as quantified by a dissociation constant, is about 10⁻⁷ M or stronger (e.g., about 10⁻⁸ M, 10⁻⁹ M or even stronger).

A first aspect provides a method of treating Friedrich's Ataxia, comprising administering to a subject a therapeutically effective amount of a compound of formula (I) or a pharmaceutically acceptable salt, tautomer or stereoisomer thereof:

wherein:

-   -   L is a linking group selected from the group consisting of         —S(O)₂—NH—(CR₂)_(x)—, —S(O)₂—NH—N═(CR)— and         —S(O)₂—NH—C(O)—NH—(CR₂)_(y)— wherein:         -   R is H or C₁-C₄ alkyl, and         -   x and y are each independently 0, 1 or 2;     -   B is a 5- or 6-membered aromatic ring having 1 or 2 optional         nitrogen heteroatoms;     -   each R^(a) and R^(b) is independently C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, oxo, —NO₂, —CF₃,         —CN, —OR₉, —SR₉, —C(O)R₉, —NHC(O)R⁹, —C(O)OR₉, —OC(O)R₉,         —NR₁₀R₁₁, —C(O)NR₁₀R₁₁, —NHR₉C(O)NR₁₀R₁₁, or —SO₂NR₁₀R₁₁, aryl,         arylalkyl, cycloalkyl, or heterocycle, wherein:         -   R₉, R₁₀, and R₁₁ are independently H, C₁-C₆ alkyl, C₂-C₆             alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl,             cycloalkyl, or heterocycle, each being optionally             substituted with one to four substituents, and         -   two R^(a) or two R^(b) together with the atoms to which they             attach on the ring optionally form a ring;     -   s is 0, 1, 2 or 3; and     -   t is 1, 2, 3 or 4.

In a first embodiment of the first aspect each R^(a) is independently C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or —OR₉.

In a second embodiment of the first aspect, each R^(b) is independently C₁-C₆ alkyl, halo, —C(O)OR₉, —C(O)R₉, —NO₂, —CF₃, —CN, or —OR₉.

In a third embodiment of the first aspect, L is —S(O)₂—NH—N═(CH)— and one of the two carbons on ring A ortho to the attachment to L is unsubstituted.

In a fourth embodiment of the first aspect, B is selected from the group consisting of a phenyl group, an imidazole, a pyridine and a pyrimidine.

In a fifth embodiment of the first aspect, the compound is of formula Ia:

In a sixth embodiment of the first aspect, the compound is of formula Ib:

In a seventh embodiment of the first aspect, the compound is of formula Ic:

wherein t is 1, 2 or 3 and the other variables remain as defined with respect to formula I.

In an eighth embodiment of the first aspect, the compound has the structure of formula Id:

wherein R^(a) is halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, or —NO₂; R⁴ and R⁸ are independently H, —OH, or C₁-C₆ alkoxy; and R⁵ and R⁷ are independently H, halo, or —NO₂.

In a ninth embodiment of the first aspect at least one R^(b) is —NO₂.

In a tenth embodiment of the first aspect t is 2 or 3 and at least one R^(b) is a halogen and at least one R^(b) is —NO₂.

In an eleventh embodiment of the first aspect, s is 1, 2 or 3 and at least one R^(a) is a halogen.

In a twelfth embodiment of the first aspect, the compound has the structure of formula XII:

In an additional embodiment of the first aspect, the compound has the structure of formula XIII:

Example compounds to be used with the disclosed methods have been identified through the screening methods disclosed herein. These compounds include:

Numerous of the compounds useful in the disclosed methods undergo tautomerization. In those instances, the tautomers of the compounds are included within the scope compounds of disclosed formula I. In one example, a compound useful in the

Its tautomer is:

In a thirteenth embodiment of the first aspect, the method of treating Friedrich's Ataxia comprises inhibiting ubiquitination of frataxin.

In a fourteenth embodiment of the first aspect, the method of treating Friedreich's Ataxia comprises elevating intracellular frataxin levels.

A second aspect provides a method of elevating intracellular frataxin levels.

In a first embodiment of the second aspect, elevating intracellular frataxin levels is accomplished by inhibiting ubiquitination of frataxin.

In a second embodiment of the second aspect, elevating intracellular frataxin levels is accomplished by blocking binding by ubiquitin at lysine 147 of frataxin.

In a third embodiment of the second aspect the blocking of binding by ubiquitin of lysine 147 of frataxin is accomplished by any of the compounds of any of the formulae disclosed with respect to the first aspect

A third aspect provides a method of inhibiting the ubiquitination of frataxin, comprising blocking binding by ubiquitin of lysine 147 of frataxin, wherein frataxin has the sequence of SEQ ID NO: 1.

In a first embodiment of the third aspect the blocking of binding by ubiquitin of lysine 147 of frataxin is accomplished by any of the compounds of any of the formulae disclosed with respect to the first aspect.

In some aspects, the compounds disclosed with respect to the first aspect inhibit ubiquitin-mediated degradation by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷. In further aspects, these compounds are used to treat Friedreich's Ataxia by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷. In further aspects, these compounds are used to increase frataxin levels by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷.

A fourth aspect provides a method of identifying an agent that inhibits ubiquitination of frataxin, comprising the steps of: providing an agent; contacting the agent with frataxin or a fragment thereof; measuring a signal correlated with a lack of ubiquitination or a lack of frataxin degradation; measuring the elevation of intracellular frataxin levels; and determining whether said agent inhibits ubiquitination of frataxin.

In a first embodiment of the fourth aspect, determining whether said agent inhibits ubiquitination of frataxin comprises measuring intracellular frataxin levels.

In a second embodiment of the fourth aspect, the method further comprises the step of designing an agent based upon a three-dimensional structure of a frataxin binding pocket defined by the structural coordinates of at least amino acid residues 92-106, 126-132, and 144-156 of native frataxin (SEQ ID: 1).

In a third embodiment of the fourth aspect, the three-dimensional structure of the frataxin binding pocket is determined using X-ray crystallography.

In a fourth embodiment of the fourth aspect, the three-dimensional structure of the frataxin binding pocket is determined using protein NMR.

Pharmaceutical Compositions

In a fifth aspect of the invention, pharmaceutical compositions comprising a compound of one of structures of any one of the formulae disclosed with respect to the first aspect is provided.

The compounds described herein can be used as pharmaceutical compositions comprising the compounds, together with one or more pharmaceutically acceptable excipients or vehicles, and optionally other therapeutic and/or prophylactic ingredients. Such excipients include liquids such as water, saline, glycerol, polyethyleneglycol, hyaluronic acid, ethanol, cyclodextrins, modified cyclodextrins (i.e., sufobutyl ether cyclodextrins) etc. Suitable excipients for non-liquid formulations are also known to those of skill in the art. Pharmaceutically acceptable salts can be used in the compositions of the present invention and include, for example, mineral acid salts such as hydrochlorides, hydrobromides, phosphates, sulfates, and the like; and the salts of organic acids such as acetates, propionates, malonates, benzoates, and the like. A thorough discussion of pharmaceutically acceptable excipients and salts is available in Remington's Pharmaceutical Sciences, 18th Edition (Easton, Pa.: Mack Publishing Company, 1990).

Additionally, auxiliary substances, such as wetting or emulsifying agents, biological buffering substances, surfactants, and the like, may be present in such vehicles. A biological buffer can be virtually any solution which is pharmacologically acceptable and which provides the formulation with the desired pH, i.e., a pH in the physiologically acceptable range. Examples of buffer solutions include saline, phosphate buffered saline, Tris buffered saline, Hank's buffered saline, and the like.

Depending on the intended mode of administration, the pharmaceutical compositions may be in the form of solid, semi-solid or liquid dosage forms, such as, for example, tablets, suppositories, pills, capsules, powders, liquids, suspensions, creams, ointments, lotions or the like, preferably in unit dosage form suitable for single administration of a precise dosage. The compositions will include an effective amount of the selected drug in combination with a pharmaceutically acceptable carrier and, in addition, may include other pharmaceutical agents, adjuvants, diluents, buffers, etc.

The invention includes a pharmaceutical composition comprising a compound of the present invention including isomers, tautomers, racemic or non-racemic mixtures of isomers, or pharmaceutically acceptable salts or solvates thereof together with one or more pharmaceutically acceptable carriers, and optionally other therapeutic and/or prophylactic ingredients.

For solid compositions, conventional nontoxic solid carriers include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talc, cellulose, glucose, sucrose, magnesium carbonate, and the like. Liquid pharmaceutically administrable compositions can, for example, be prepared by dissolving, dispersing, etc., an active compound as described herein and optional pharmaceutical adjuvants in an excipient, such as, for example, water, saline, aqueous dextrose, glycerol, ethanol, and the like, to thereby form a solution or suspension. If desired, the pharmaceutical composition to be administered may also contain minor amounts of nontoxic auxiliary substances such as wetting or emulsifying agents, pH buffering agents, tonicifying agents, and the like, for example, sodium acetate, sorbitan monolaurate, triethanolamine sodium acetate, triethanolamine oleate, etc. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in this art; for example, see Remington's Pharmaceutical Sciences, referenced above.

For oral administration, the composition will generally take the form of a tablet, capsule, a softgel capsule or may be an aqueous or nonaqueous solution, suspension or syrup. Tablets and capsules are preferred oral administration forms. Tablets and capsules for oral use will generally include one or more commonly used carriers such as lactose and corn starch. Lubricating agents, such as magnesium stearate, are also typically added. When liquid suspensions are used, the active agent may be combined with emulsifying and suspending agents. If desired, flavoring, coloring and/or sweetening agents may be added as well. Other optional components for incorporation into an oral formulation herein include, but are not limited to, preservatives, suspending agents, thickening agents, and the like.

A pharmaceutically or therapeutically effective amount of the composition will be delivered to the subject. The precise effective amount will vary from subject to subject and will depend upon the species, age, the subject's size and health, the nature and extent of the condition being treated, recommendations of the treating physician, and the therapeutics or combination of therapeutics selected for administration. Thus, the effective amount for a given situation can be determined by routine experimentation. The subject may be administered as many doses as is required to reduce and/or alleviate the signs, symptoms, or causes of the disorder in question, or bring about any other desired alteration of a biological system.

The description of the aspects of the invention has been presented for the purpose of illustration; it is not intended to be exhaustive or to limit the invention to the precise forms disclosed. Persons skilled in the relevant art can appreciate that many modifications and variations are possible in light of the above teachings. It should be noted that the language used in the specification has been principally selected for readability and instructional purposes, and it may not have been selected to delineate or circumscribe the inventive subject matter. Accordingly, the disclosure of the aspects of the invention is intended to be illustrative, but not limiting, of the scope of the invention.

All references, issued patents and patent applications cited within the body of the specification are hereby incorporated by reference in their entirety, for all purposes.

EXAMPLES

Frataxin Binding Site Analysis.

The crystal structure of human frataxin^(19,20) was employed to characterize regions of buried volume and to identify positions likely to represent binding sites based upon the size, shape, and burial extent of these volumes using the program PASS²¹. This analysis identified 8 putative binding sites, one of which, located around Lys 147, was used in the virtual screening and docking studies.

Target Preparation.

The virtual screening studies were performed with AutoDock version 4.2 and AutoDock Vina version 1²². For visual analysis MGLTools (http://mgltools.scripps.edu) and PyMOL (http://www.pymol.org/) were used. The crystallographic structure of frataxin from PDB file 1EKG, after remotion of crystallization water molecules, was prepared adding polar hydrogens and calculating the atomic partial charges.

Library of Lead-Like Ligands.

The NCI database (http://dtp.nci.nih.gov), a library of about 250,000 compounds was used to identify small molecules capable of modulate frataxin stability preventing its ubiquitination. For this work the version of NCI database from ZINC²³ was used; ZINC database is available as 3D structures ready to be used in molecular docking experiments. The ZINC NCI compounds (“ncid” dataset), was filtered to prepare a smaller dataset of candidates. To this end, the subset obtained from cluster analysis (similarity threshold of 60%, “ncid_t60” cluster from ZINC, 9218 compounds), filtered to select lead-like compounds (ZINC subset “lead-like”, about 316,000 compounds,²⁴), produced a relatively small dataset of 6,025 structures. These molecules were used in the virtual screening procedure.

Virtual Screening.

The dataset prepared from ZINC/NCI database was used with AutoDock Vina²² to perform virtual screening experiments on the K147 site of frataxin. A cubic grid centered on the Ca of K147 with an edge of 22.5 Å was used. The screening of the dataset was performed with the structure of the protein kept fixed. The 100 top-ranked structures were analyzed. One of these compound was used to retrieve similar NCI compounds non included in the t60 cluster. Using the SMARTS (http://www.daylight.com/dayhtml/doc/theory/theory.smarts.html) query “O[A][A]C=NNS[c]”, 87 compounds were retrieved from the NCI database (all compounds in subset “ncid” from ZINC). These molecules were again docked on the frataxin structures and finally, ˜40 molecules were selected for in vitro testing. In the second-generation screening, the flexibility of selected side-chains of the binding site was treated as flexible to take into account for induced fitting effects.

Small Molecule Screening Assays.

To test small molecule candidates, HEK-293 cells were transiently transfected with frataxin-GFP fusion protein, using the Ca/Ph precipitation method in 10 cm plates. After 18 hrs, cells were splitted, pooled and plated again in 96 wells, to normalize for variation in transfection efficiency. Each molecule was then added at 50 or 100 μM to 12 independent wells. MG132 was used as a positive control. 18 hrs after treatment, cells from all wells were collected and pooled together. Cells were then fixed in 4% paraformaldehyde and changes in fluorescence intensity were monitored by FACS analysis. Small molecules increasing fluorescence intensity, similarly to MG132, were re-tested for their effects on both GFP alone and frataxin-GFP to identify molecules specifically affecting frataxin levels.

Cell Culture and Transfections.

Human embryonic kidney HEK-293 cells and Hela cells were maintained in DMEM supplemented with 10% FBS. HEK-293 were transfected with the calcium/phosphate precipitation method, using 20 μg total DNA (10 μg pIRES-frataxin and 10 μg HA-Ub, or corresponding empty vectors) on 10 cm dishes. Hela cells were transfected using Lipofectamine 2000 reagents (Invitrogen), according to manufacturer's instructions. Where indicated, the day after transfection, cells were treated for 16 h with 10 μM proteasome inhibitors, MG132 or Lactacystin, or 50 ng/ml DUB inhibitor Ubiquitin-Aldehyde. Flp-In-HEK-293 cells (Invitrogen) are HEK-293 variants allowing the stable and isogenic integration and expression of a transfected gene. Flp-In-HEK-293 cells were maintained in DMEM supplemented with 10% FBS and transfected with the calcium/phosphate precipitation method. Briefly, cells were plated on 10 cm dishes and transfected with 10 μg total DNA. The HEK-293 clone stably expressing frataxin¹⁻²¹⁰ was previously described (4). The HEK-293 clone stably expressing frataxin^(K147R) was obtained from cultures in selection medium containing 100 μG/ml hygromycin B (Invitrogen). FRDA lymphoblasts GM15850, GM16798 and GM16241, as well control lymphoblasts GM15851, GM16241 and GM16215, were maintained in RPMI supplemented with 15% FBS. Treatments with specific ubiquitin-competing molecules were performed in 20% FBS containing medium. FRDA fibroblasts GM03816 were maintained in DMEM supplemented with 15% FBS.

Antibodies.

The following antibodies were used for immunoprecipitation and western blot analysis: mAb anti-frataxin (MAB-10876, Immunological Science), mAb anti-HA (clone HA-7, Sigma), mAb anti-Ubiquitin (clone P4D1, Santa Cruz), mAb anti-tubulin (Sigma), secondary antibody HRP-conjugated goat anti-mouse (Pierce). The following antibodies were used for FACS staining: mAb anti-frataxin (MAB-10485, Immunological Science), mAb anti-Bcl2 (sc-509, Santa Cruz), FITC-conjugated goat anti-mouse IgG/IgM (BD Bioscience Pharmingen).

Chemicals.

Proteasome inhibitors: MG132 and Lactacystin (Sigma Aldrich); DUB inhibitors: Ub-Aldehyde (Biomol) and N-Ethylmaleimide (NEM, Sigma Aldrich). Protein synthesis inhibitor: Cycloheximide (Sigma Aldrich).

DNA Constructs.

The pIRES2-frataxin¹⁻²¹⁰ construct was previously described (Condo, I. et al., 2006). All the lysines mutants constructs were generated using the Quick-Change site-directed mutagenesis kit (Stratagene) with specific primers using pIRES2-frataxin¹⁻²¹⁰ as template. All the constructs generated were verified by DNA sequencing. The Ha-Ub construct was generated by M. Treier in Dirk Bohmann's lab (Treier, M. et al. 1994). The pEGFP-frataxin construct was generated from pIRES2-frataxin¹⁻²¹⁰ by PCR amplification with specific oligonucleotides designed to subclone the fragment into pEGFP-NI, to express a fusion product in frame with the N-terminus of GFP.

Immunoblotting and Immunoprecipitation.

Cell extracts were prepared in modified RIPA buffer (10 mM sodium phosphate pH7.2, 150 mM NaCl, 1% Na deoxycholate, 0.1% SDS, 1% Np40, 2 mM EDTA) or IP buffer (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, 1% Nonidet P-40, 5 mM EDTA, 5 mM EGTA) supplemented with Complete protease inhibitor cocktail and 2 mM N-Ethylmaleimide (NEM). For immunoblotting, 100 μg of protein extract were separated on 12% SDS-PAGE, blotted onto nitrocellulose membrane and detected with specific antibodies. For in vivo detection of ubiquitin-conjugates 100 MG132 and 50 ng/ml Ubiquitin-Aldehyde were added to the lysis buffer. For immunoprecipitation, 5 mg of total protein extract prepared as above were incubated for 1-2 h at 4° C. with specific antibodies, previously conjugated to Protein G-sepharose (GE Healthcare). Immunocomplexes were then resolved and analysed by SDS-PAGE. All immunoblots were revealed by ECL (GE Healthcare). Densitometric analysis was performed using ImageJ software.

Flow Cytometric Analysis Offrataxin Levels.

Cells were collected after the indicated treatments and fixed for 20 minutes in 4% paraformaldehyde at room temperature. Cells were then permeabilized and blocked in a blocking solution (3% FBS in PBS) containing 0.2% Triton, for 1 hour at room temperature. Cells were then incubated overnight at 4° C. with anti-frataxin monoclonal antibody (MAB-10485, Immunological Science) or anti-Bcl2 monoclonal antibody (sc-509, Santa Cruz) diluted 1:200 in blocking solution. Cells were then washed 3 times in PBS and incubated for 1 hour at room temperature with FITC-conjugated goat anti-mouse IgG/IgM (BD Bioscience Pharmingen) diluted 1:200 in blocking solution. After washing 3 times with PBS cells were analyzed by flow cytometry (Becton Dickinson).

Aconitase Assay and Determination of ATP.

FRDA lymphoblasts and fibroblasts were washed twice with ice-cold Dulbecco's Phosphate Buffered Saline (DPBS) and lysed in CelLytic M buffer (Sigma-Aldrich) supplemented with Complete protease inhibitor cocktail, EDTA-free (Roche). Aconitase activity was measured spectrophotometrically at 340 nm by a coupled reaction of aconitase and isocitrate dehydrogenase. The assay reactions contained 100 mg of cell extract in 50 mM Hepes pH 7.4, 1 mM sodium citrate, 0.6 mM MnCl₂, 0.2 mM NADP⁺ and 2 U/ml isocitrate dehydrogenase (Sigma-Aldrich). Citrate synthase activity was assessed using 10 mg of cell extract with the Citrate Synthase Assay Kit (Sigma-Aldrich CS0720). The aconitase activities were normalized with respect to citrate synthase ratios; one milliunit of enzyme was defined as the amount of protein that converted 1 nmol of NADP⁺ in 1 min at 25° C. The intracellular ATP content was measured in black microtiter plates using 50 mg of cell extract with the ATP Bioluminescence Assay Kit CLS II (Roche) according to the manufacturer's protocol.

Frataxin Levels are Controlled by Proteasome-Mediated Degradation.

HeLa cells were transiently transfected with frataxin¹⁻²¹⁰. 24 h after transfection cells were treated for 18 h with 10 μM of the indicated proteasome inhibitors. Total cell extracts were analysed by SDS-PAGE and revealed by immunoblotting with anti-frataxin antibody (upper panel) or anti-tubulin (lower panel). One representative experiment out of three performed with similar results is shown in FIG. 1A. LC: Lactacystin, MG: MG132. Pre: precursor; int: intermediate; mat: mature; tub: tubulin.

HEK-293 Flp-In cells stably transfected with frataxin¹⁻²¹⁰ were treated for the indicated times with 10 μM MG132. Total cell extracts were blotted as in A. One representative experiment out of four performed with similar results is shown in FIG. 18.

FIGS. 1C and 1D show quantitative analysis of frataxin precursor and mature accumulation upon MG132 treatment of HEK-293 Flp-In cells, as shown in 1B.

HEK-293 Fip-In cells stably transfected with frataxin¹⁻²¹⁰ (FIG. 1E) or empty vector (FIG. 1G) were treated for the indicated times with 100 μg/ml cycloheximide (CHX) in the presence or absence of 10 μM MG132 (MG). Total cell extracts were analysed by SDS-PAGE and revealed by immunoblotting with anti-frataxin antibody or anti-tubulin. One representative experiment out of five performed with similar results is shown. Pre: precursor, tub: tubulin.

FIGS. 1F and 1H illustrate densitometric analysis of the expression of frataxin precursor as shown in E and G, respectively, normalized to tubulin levels. Dotted line indicates frataxin precursor half-life.

Upon biosynthesis, the frataxin¹⁻²¹⁰ precursor is rapidly imported in the mitochondrial matrix, where it is quantitatively processed to generate mature frataxin^(81-210 4,5) Since proteins within the mitochondrial matrix are shielded from UPS degradation, whether the UPS could affect the stability of the frataxin precursor was determined. To address this question, the proteasome in HeLa cells, transiently transfected with frataxin¹⁻²¹⁰ to allow for sufficient precursor accumulation was inhibited. FIG. 1A shows that cells treated with proteasome inhibitors lactacystin (LC) or MG132 (MG) accumulated significantly higher amounts of precursor compared to untreated cells. To analyze the effect of proteasome inhibitors in further detail, HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were used. This cell line is engineered to integrate a single copy of the transfected cDNA and therefore, unlike transiently transfected cells, it allows the accumulation of frataxin products at more physiologic levels. When these cells were treated with MG132, a time-dependent and quite remarkable (>15 fold after 24 hrs) accumulation of the frataxin precursor was observed. Most importantly, a ˜2.5 fold accumulation of mature frataxin was also detected after 24 hrs of treatment (FIG. 1B-D).

The above data strongly suggest that a significant fraction of the frataxin precursor is constitutively targeted to UPS degradation. To better characterize this process, whether proteasome inhibition can modulate frataxin half-life was analyzed. HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were treated with cycloheximide (CHX) to block new protein synthesis and the fading of the frataxin precursor was monitored in the presence of proteasome inhibitor MG132. FIG. 1E shows that the time-dependent degradation of the frataxin precursor is blocked by MG132. In these experimental conditions, the estimated half-life of frataxin precursor is approximately 18 hours (FIG. 1F). Most importantly, proteasome inhibition also prevents the degradation of the endogenous frataxin precursor (FIG. 1G), which shows an apparent half-life of 12 hours (FIG. 1H).

Frataxin can be Mono- and Poly-Ubiquitinated In Vivo.

FIG. 2A illustrates HEK-293 cells transiently transfected with frataxin¹⁻²¹⁰ and HA-tagged ubiquitin (HA-Ub) (where indicated) were treated with 10 μM MG132 (MG) for 16 h. One representative experiment out of five performed with similar results is shown. Total cell extracts (lanes 1-4) or anti-HA immunoprecipitates (lanes 5-8) were analyzed by WB with anti-frataxin antibody. Pre: precursor; int: intermediate; mat: mature frataxin.

FIG. 2B illustrates HEK-293 cells transiently transfected with frataxin¹⁻²¹⁰ and HA-Ub (where indicated) or control empty vector (ev) were treated as above. Polyubiquitin-conjugated forms of frataxin were detected by WB with anti-ubiquitin antibody on immunoprecipitated frataxin. One representative experiment out of three performed with similar results is shown.

Protein degradation through the proteasome is a highly specific process that implies as a first step the conjugation of one or more ubiquitin molecules to the protein to be degraded. To address whether frataxin could be directly modified by ubiquitin, HEK-293 cells were transiently co-transfected with frataxin¹⁻²¹⁰ and HA-tagged ubiquitin (HA-Ub), in the presence of MG132. FIG. 2A shows that, when HA-Ub is co-transfected with frataxin¹⁻²¹⁰, and only in the presence of MG132, bands migrating slower than the precursor are recognized by anti-frataxin mAbs, consistent with the accumulation of mono-ubiquitinated frataxin amid proteasome inhibition (lane 4). When HA-Ub was immunoprecipitated and WB probed with anti-frataxin mAbs the same discrete slower-migrating bands were observed in co-transfected cells treated with MG132, indicating that proteasome inhibition allows the accumulation and detection of mono-ubiquitinated frataxin (lane 8).

Conversely, when frataxin was immunoprecipitated from HEK-293 cells transiently co-transfected with frataxin¹⁻²¹⁰ and HA-tagged ubiquitin (HA-Ub), and WB probed with anti-Ub mAb, a ubiquitin smear was observed in cells treated with MG132, indicating that proteasome inhibition allows the accumulation and detection also of poly-ubiquitinated frataxin (FIG. 2B, lane 8). Importantly, immunoprecipitation of endogenous frataxin as well, from HEK-293 cells transfected with empty vector (ev), allowed the detection of poly-ubiquitinated frataxin in the presence of MG132 (FIG. 2B, lanes 2 and 4), suggesting that also endogenous frataxin can be directly modified by ubiquitin. Together these results indicate that frataxin can be mono- and polyubiquitinated in vivo and that the accumulation of ubiquitinated frataxin can be detected by blocking the proteasome.

K¹⁴⁷ is the Main Ubiquitination Target.

HEK-293 cells transiently transfected with HA-tagged ubiquitin (HA-Ub) and frataxin¹⁻²¹⁰ or K¹⁴⁷-mutant frataxin (K147R) were treated with 10 μM MG132 (MG) for 16 h. Anti-HA immunoprecipitates were analyzed by WB with anti-frataxin antibody to detect ubiquitin-conjugated frataxin. One representative experiment out of five performed with similar results is shown in FIG. 3A.

HEK-293 cells transiently transfected with HA-Ub and the lysine-less frataxin mutant (13KR) or the lysine-less frataxin mutant in which K¹⁴⁷ has been reintroduced (13KR-R147K) were treated with 10 μM MG132 for 16 h. Anti-HA immunoprecipitates were analyzed as in A. One representative experiment out of two performed with similar results is shown in FIG. 3B.

HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ (HEK-293-frataxin) or the K147R frataxin mutant (HEK-293-frataxin^(K147R)) were treated for the indicated times with 100 μg/ml cycloheximide (CHX) to block new protein synthesis. Proteins were resolved on SDS-PAGE and revealed with anti-frataxin antibody or anti-tubulin, as a loading control. Pre: frataxin precursor. One representative experiment out of three performed with similar results is shown in FIG. 3C.

Densitometric analysis of frataxin precursor levels as shown in A normalized to tubulin levels. The graph in FIG. 3D shows the time-dependent decline upon CHX treatment.

Frataxin contains 13 lysines that represent possible ubiquitination targets. To map the critical lysine(s) we underwent a systematic site-specific mutagenesis of each and all frataxin lysines with arginines. The resulting frataxin mutants were transiently co-transfected with HA-Ub in HEK-293 cells exposed to MG132 to screen for the accumulation of ubiquitinated frataxin. This analysis allowed the identification of K¹⁴⁷ as the key target residue for frataxin ubiquitination. In fact, when the mutant frataxin^(K147R) is transiently co-transfected with HA-Ub in HEK-293 cells exposed to MG132, the accumulation of mono-ubiquitinated frataxin cannot be detected (FIG. 3A). Moreover, while the knock-down of all the 13 lysines of frataxin (13KR) virtually abrogated any ubiquitination of frataxin, the reintroduction of K¹⁴⁷ in the lysine-less mutant was sufficient to restore the ubiquitination signal (FIG. 3B). Therefore K¹⁴⁷ is a major target of ubiquitination in frataxin and it is necessary for ubiquitination of the protein. Strikingly, among the 13 lysines of frataxin, K′⁴⁷ is the most conserved across species (Table 1).

Frataxin^(K147R) is Resistant to UPS-Mediated Degradation.

The loss of the ubiquitin docking site should grant the frataxin^(K147R) mutant a relative resistance to UPS-mediated degradation, thus increasing its stability. To test this prediction, frataxin^(K147R) was stably expressed in HEK-293 cells. After exposure to cycloheximide to block new protein synthesis, the stability of the frataxin^(K147R) precursor was monitored over time and compared to the stability of frataxin precursor of HEK-293 cells stably expressing wild type frataxin¹⁻²¹⁰ and similarly treated. FIG. 3C-D shows that the frataxin^(K147R) precursor is significantly more stable (˜45% of the input after 24 h) than the frataxin¹⁻²¹⁰ precursor (˜15% of the input after 24 h).

K¹⁴⁷ is Part of a Druggable Molecular Surface.

FIG. 4A illustrates solvent-accessible surface of frataxin. The binding site near K¹⁴⁷ includes E⁹⁶, E¹⁰⁰, D¹⁰⁴, F¹²⁷, G¹³⁰, L¹⁰³, and A⁹⁹. The latter aminoacid, omitted for clarity, is at the left of L¹⁰³ at the bottom of the cleft.

FIG. 4B is a cartoon representation of frataxin illustrating charged residues of the putative binding surface near K₁₄₇. E⁹⁶ is likely to form a stabilizing bond with K¹⁴⁷.

FIG. 4C illustrates the compound Formula III on the molecular surface of frataxin.

FIG. 4D illustrates selected interactions between frataxin and the ligand.

Ubiquitin-Competing Molecules Prevent Frataxin Ubiquitination.

Formula III prevents frataxin ubiquitination. HEK-293 cells were transiently co-transfected with HA-Ub and either frataxin¹⁻²¹⁰ or lysine-mutant frataxin (K147R). Where indicated, cells were pretreated with 20 μM or 50 μM formula III one hour before transfection. The molecule was re-added 24 hours after transfection and cells were harvested 48 hours after transfection. Where indicated, cells were also treated with 10 μM MG132 for the last 16 hours. Total cell extracts (upper panel) or anti-HA immunoprecipitated proteins (lower panel) were detected with anti-frataxin antibody. One representative experiment out of three performed with similar results is shown in FIG. 5A.

Formula III induces frataxin precursor accumulation. HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were treated for the indicated days with 20 μM of Formula III or 10 μM MG132. Total cell extracts were resolved on SDS-PAGE and analyzed with anti-frataxin antibody, or anti-tubulin, as a loading control. One representative experiment out of three performed with similar results is shown in FIG. 5B.

Formula III induces mature frataxin accumulation. HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were treated and analyzed as in B. One representative experiment out of three performed with similar results is shown FIG. 5C.

To verify that putative ubiquitin-competing molecules were in fact able to interfere with the accessibility of K¹⁴⁷, thus preventing frataxin ubiquitination, HEK-293 cells were transiently co-transfected with HA-tagged ubiquitin (HA-Ub) and frataxin¹⁻²¹⁰, in the presence of 20 μM and 50 μM of Formula III (FIG. 5A). Ubiquitinated frataxin was revealed after 48 h, by Western Blotting of total cell lysates (upper panel) and of anti-HA immunoprecipitates (lower panel). HEK-293 cells were also transiently co-transfected with HA-tagged ubiquitin (HA-Ub) and the frataxin^(K147R) mutant (K147R) that lacks the ubiquitinable lysine, as a negative control. Collectively, FIG. 5A clearly shows that Formula III efficiently prevents the ubiquitination of frataxin¹⁻²¹⁰ in a dose-dependent manner.

Preventing ubiquitination should result in a reduced degradation and consequent accumulation of frataxin. To test whether ubiquitin-competing molecules could induce the accumulation of frataxin, HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were exposed to Formula III for the days indicated, and the accumulation of the frataxin precursor (FIG. 5B) and mature frataxin (FIG. 5C) was quantitated by WB. Thus the treatment of HEK-293 cells stably expressing frataxin with Formula III is able to induce substantial accumulation of both the frataxin precursor and, over a longer time period, of mature frataxin.

Ubiquitin-Competing Molecules are Effective in FRDA Cells.

FRDA lymphoblasts GM15850 were cultured for 6 days in the presence of 50 μM Formula IV or Formula VI. Cells were then fixed, stained with anti-frataxin antibody or anti-Bcl2, as a control, and analyzed by flow cytometry. One representative experiment out of three performed with similar results is shown as FIG. 6A.

FRDA lymphoblasts GM15850, GM16798 and GM16214 were left untreated or cultured for 6 days in the presence of 50 μM Formula IV. Their respective genetically-related healthy control GM15851, GM16241 and GM16215 lymphoblasts were left untreated and shown for comparison in FIG. 6B. Total cell extracts were resolved on SDS-PAGE and analyzed with anti-frataxin antibody, or anti-tubulin, as a loading control.

FRDA lymphoblasts GM16798 were left untreated or treated for 6 days with 50 μM Formula IV. Their genetically-related healthy control GM16241 lymphoblasts were left untreated. FIG. 6C shows the results. Aconitase activity and ATP levels were measured as described previously.

Among the different ubiquitin-competing molecules, compounds of Formula IV and Formula VI appeared to be best tolerated by FRDA cells. Lymphoblasts (GM15850 cells) derived from a FRDA patient were therefore exposed to these compounds for different time periods. As shown in FIG. 6A, FACS analysis reveals a discrete frataxin accumulation detectable in all cells after 6 days of treatment with both molecules. The accumulation of mature frataxin can be detected by SDS-PAGE and western blot analysis in GM15850 cells, as well as in lymphoblasts derived by two additional FRDA patients (GM16798 and GM16214 cells) exposed to Formula IV for 6 days. Frataxin levels in the respective genetically-related healthy control-derived cell lines are also shown for comparison.

Whether the increase in frataxin levels induced by exposure to ubiquitin-competing molecules would result in some functional rescue of FRDA cells was investigated. FIG. 6C shows that exposure of GM16798 lymphoblasts to Formula IV is able to significantly boost both aconitase activity and ATP levels after 6 days of treatment. Aconitase and ATP levels of the respective genetically-related healthy control-derived lymphoblasts are also shown for comparison.

Similarly, FRDA fibroblasts (GM03816 cells) were exposed to compound Formula IV for different time periods FIG. 7 shows that frataxin accumulation can be detected as early as 3 days of treatment by both FACS analysis or SDS-PAGE and western blot analysis. Rescue of ATP levels can also be achieved in GM03816 fibroblasts exposed to Formula IV after 3 days of treatment (FIG. 7). FRDA fibroblasts GM03816 were treated for 3 days with 100 μM Formula IV. Cells were then fixed, stained with anti-frataxin antibody or anti-Bcl2, as a control, and analyzed by flow cytometry. One representative experiment out of three performed with similar results is shown in FIG. 7A. FRDA fibroblasts GM03816 were treated as above. Total cell extracts were resolved on SDS-PAGE and analyzed with anti-frataxin antibody, or anti-tubulin, as a loading control. FIG. 7B shows the results. FRDA fibroblasts GM03816 were treated as above. ATP levels were quantitated as described previously. Results are shown in FIG. 7C.

Compounds of Formulas IV and VI were also effective in inducing frataxin accumulation in HEK-293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ as quantitated by WB and FACS analysis (FIG. 8). 293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were either left untreated or treated with 100 μM Formula IV or Formula VI for 18 hours. Total cell extracts were resolved on SDS-PAGE and analyzed with anti-frataxin antibody or anti-tubulin as a loading control (tub). Both precursor (pre) and mature frataxin (mat) are shown in FIG. 8A. 293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were treated as for FIG. 8A and analyzed by flow cytometry after staining with anti-frataxin antibody or anti-Bcl2, as a control. One representative experiment out of three performed with similar results is shown in FIG. 8B.

Alinda IVK/1053144 and IVK/1070211 are effective in inducing mature frataxin accumulation in FRDA cells. FRDA lymphoblasts (GM15850) were treated for 3 days with 100 mM of IVK/1053144 or IVK/1070211 (Alinda codes). Total cell extracts from treated cells and from untreated cells (−) were resolved on SDS-PAGE and analyzed with anti-frataxin antibody, or anti-tubulin antibody. FIG. 9 shows the results.

Together these data indicate that the mature frataxin that accumulates during treatment with the ubiquitin-competing molecules is functional and able to partially revert the mitochondrial dysfunction in FRDA cells.

Efficacy Testing on FRDA Mice.

To test the compounds in FRDA mice, mice that express only the human FXN gene in which a GAA expansion has been inserted will be used. These mice therefore lack murine frataxin and produce low levels of human frataxin. They show a variety of neupathological signs that mimic the human disease, thus are currently considered the animal model that more closely represents the human FRDA genetic defect. This will verify that compounds that elevate frataxin in FRDA cells in vitro are also able to elevate frataxin levels in tissues and alleviate the pathology and the clinical picture in the FRDA mice.

FRDA mice will be treated at the doses indicated by preliminary toxicity studies in normal mice, and different regiments will be investigated. At the appropriate times, different biochemical, behavioural and histopathological parameters will be investigated. Locomotor activity will be assessed by examining the unrestricted movement of mice. Coordination ability will be quantitated using an accelerating rotarod treadmill. Muscle strength will be measured by a forelimb grip test. Sections of the brain, spinal cord and dorsal root ganglia, liver and heart will be examined immunohistochemically to quantitate the amount of cellular frataxin and the reversal of iron accumulation and tissue degenerative changes. The activity of aconitases, as a measure of ISC-containing enzymatic function, will be also quantitated. An integrated efficacy score will be assigned to the tested compounds. A detailed pharmacokinetics/dynamics (ADME) analysis will eventually be started for those compounds which show the most promising activity.

The information that ubiquitination of frataxin on K¹⁴⁷ is crucial for its degradation, prompted investigation of the possibility of increasing frataxin levels by interfering with ubiquitination on K¹⁴⁷ bytailored drug design.

K¹⁴⁷, together with residues E⁹⁶, E¹⁰⁰, D¹⁰⁴, F¹²⁷, G¹³⁰, L¹⁰³, and A⁹⁹ surrounds a well defined cavity on the surface of frataxin (FIG. 4A-B). This cleft was chosen for in silico targeting in a virtual screening approach using the NCI chemical library.

The search for inhibitors of frataxin at the K147 site has been extended starting from the compound of Formula III, using an in-house database of conformers. The structure of Formula III has been subjected to conformational analysis and 16 conformers have been defined as representative of low-energy accessible conformational space for that molecule. These structures have been used to screen a database of ˜500K lead-like molecules (˜50M conformers), looking for similar structures (USR alghoritm, similarity >=0.85). 195 molecules were identified and docked on the structure of frataxin.

The area near K¹⁴⁷ of frataxin, as defined by the x-ray structure of the protein (PDB code: 1EKG) was used as target. This site includes E100, L103, D104, F127, G128, S129, G130, and K¹⁴⁷: The area near K¹⁴⁷ as defined by NMR models for frataxin (PDB code 1LY7) was also used. The available NMR structures (15 models) were analyzed with the same procedure used for the x-ray structure (program PASS). Three out of fifteen NMR models show a large pocket in the vicinity of K¹⁴⁷. One of these, model #7 in 1LY7, has been chosen for the docking studies, because it shows the largest pocket and because it is the most similar to the x-ray structure.

The virtual screening of the selected compounds has been carried out using the docking program Autodock/Vina. The docking region has been centered on the coordinates of the Cb of K147, with a grid of 16×16×16 Å with spacing of 0.375 Å. The docked structures were sorted by affinity for 1EKG and 1LY7, and 61 were selected for further analysis. Example selected compounds include:

TABLE 1 Alignment of frataxin sequences from different species. K¹⁴⁷ is in italics and other lysines are in bold. CLUSTAL 2.0.12 multiple sequence alignment Homo-sapiens ------MWTLGRRAVAGLLASPS-PAQAQTLTRVPRPAELAPLCGRRGLR 43 Macaca-fascicularis ------MWTFGRRAVAGLLASPS-PAQAQTLTRAPRLAELAQLCSRRGLR 43 Bos-taurus ------MWTLGRRSVASFLPRSALPGFAPTRAGAPRPAKDLSLSGLPGLR 44 Canis-familiaris ------MWTLGRRAAAGLLPRSAPPGSAAAGAGTRGPTRAAPLHGGRGLR 44 Mus-musculus ------MWAFGGRAAVGLLPRTA--SRASAWVGNPRWREPIVTCGRRGLH 42 Danio-rerio -------MSSGLNSISG-----------------GRSVSSANICGR---- 22 Drosophila-melanogaster --------MFAGRLMVRSIVGRACLATMGRWSKPQAHASQVILPSTPAI- 41 Caenorhabditis-elegans --------MLS-----------------------------TILRNN---- 9 Saccharomyces-cerevisiae -------------------MIKRSLASLVRVSSVMGRR-YMIAAAGGERA 30 Candida -------------------MFKRFALNTAKALSKPAYS-QQLIYP---QV 27 Dictyostelium --------------MIFNFLNKASNKTHTKLLLFSSIRNRILINNISSTS 36 Arabidopsis-thaliana MA--------TASRFLLRKLPRFLKLS--PTLLRSNGVRVSSNLIQDSIE 40 Zea MASRKLLVGLTARRQLQSRTQQLFWATSLPEATTSRSLMVAAAMARLSDR 50 Schizosaccharomyces-pombe -----------------------------------------MQSLRAAFR 9 Cryptococcus-neoformans -------------------------------------MLAAKNCLNKSLR 13 Trypanosoma -------------------------------MRRTCCATTSAVLRSLVYL 19 Homo-sapiens TDIDATCTPRRASSNQRGLNQIWNVKKQSVYLMNLRKSGTLGHPGSLDET 93 Macaca-fascicularis TGINATRTTHHTSSNLRGLNQIRNVKRQSVYLMNLRKSGTLGHPGSLDDT 93 Bos-taurus IGTAKAPARSQSSLSLRCLNQTLDVKKQSVCWINLRTAGTLGDAGTLDDT 94 Canis-familiaris VGTGAARGPSHANLSLHHLNQLVNVKKQSVCLMNMRTVGTVSSPGSLDET 94 Mus-musculus VTVNAG-ATRHAHLNLHYL-QILNIKKQSVCVVHLRNLGTLDNPSSLDET 90 Danio-rerio --------------HTQCFDRILN--KRDLHLSGPLGEEKAHHLREISEA 56 Drosophila-melanogaster --------------------AAVAIQCEEFTANRRLFSSQIETESTLDGA 71 Caenorhabditis-elegans -------------------------------FVRRSFSSRIFSQN----- 23 Saccharomyces-cerevisiae RFCPAVTNKKNHTVNTF-QKRFVESSTDGQVVPQEVLNLP--------LE 71 Candida RFITQTLPTVACGLRPLGSVRTYSLSTEGEAIDDKIDKIT--------DN 69 Dictyostelium KWSSINNNNKQSSVSKTNIFIITTHNKQQQQLSKSFSTINNNTKPISDVN 86 Arabidopsis-thaliana PLDSFWRIGSRIRHDS---LTTRSFSSQGPASVDYSSVLQ--------EE 79 Zea SSAPFILSSRAISSTQPVMQSTGDVSGSSPSAVDHKLAMQ--------ED 92 Schizosaccharomyces-pombe RRTPIFLKPYEFSTNVFGLRCRYYSQVRHNGALT--------------DL 45 Cryptococcus-neoformans ALRPLTERSASPVIARSARASPLLRSRATSARTPPTSTLS--------HD 55 Trypanosoma RPHGRAKPTTSGSGRKERQFSTTTARCESKGWHPAKLGMDG-----FTDV 64 Homo-sapiens TYERLAEETLDSLAEFFEDLADKPYTFEDYDVSFGSGVLTVKLGGDLGTY 143 Macaca-fascicularis TYERLAEETLDSLAEFFEDLADKPYTFEDYDVSFGSGVLTVKLGGDLGTY 143 Bos-taurus TYERLAEETLDSLAEFFEDLADKPYTFEDYDVSFGSGVLTVKLGGDLGTY 144 Canis-familiaris TYERLAETTLDSLAEFFEDLADKPYTLEDYDVSFGSGVLTVKLGGDLGTY 144 Mus-musculus AYERLAEETLDSLAEFFEDLADKPYTLEDYDVSFGDGVLTIKLGGDLGTY 140 Danio-rerio EYERLAEETLDALADYFEDLTDENFTGLDYDVVFSNGVLTVKVGSDHGTY 106 Drosophila-melanogaster TYERVCSDTLDALCDYFEELTENASELQGTDVAYSDGVLTVNLGGQHGTY 121 Caenorhabditis-elegans EYETAADSTLERLSDYFDQIADSFPVSEQFDVSHAMGVLTVNVSKSVGTY 73 Saccharomyces-cerevisiae KYHEEADDYLDHLLDSLEELSEA-HPDCIPDVELSHGVMTLEIP-AFGTY 119 Candida EYAKVSNEYLENLSDSLEELNED-FEQ--VDSELSQGVLTLTLP-PNGTY 115 Dictyostelium LFHDIVDEEFELFVDRLEILSEA-NTCEGFEVEGNDGVLTIIVG-NKGTY 134 Arabidopsis-thaliana EFHKLANFTINHLLEKIEDYGDN-VQIDGFDIDYGNEVLTLKLG-SLGTY 127 Zea EFHKLADETIHDLLEKLEEYGDS-IQMDGFDIEYGNQVLTLRLG-DLGTY 140 Schizosaccharomyces-pombe EYHRVADDTLDVLNDTFEDLLEE-VGKKDYDIQYANGVITLMLG-EKGTY 93 Cryptococcus-neoformans EYEHVSERDMETLNESLEIFCED-FGNGNWEIEYSSGVLNLTLP-PYGTY 103 Trypanosoma AYNTAADTFLERVESALETIGDT---DTLEDVNLAGGVLVIETT-SRGTF 110  :    .  :. . . ::   :        :      *: :      **: Homo-sapiens VINKOTPNKQIWLSSPSSGPKRYDWTG----KNWVYSH-DGVSLHELLAA 188 Macaca-fascicularis VINKQTPNKQIWLSSPSSGPKRYDRTG----KNWVYSH-DGVSLHELLGA 188 Bos-taurus VINKQTPNKQIWLSSPSSGPKRYDWTG----RNWVYSH-DGVSLHELLAT 189 Canis-familiaris VINKQTPNKQIWLSSPSSGPKRYDWTG----KNWVYSH-DGVSLHELLAT 189 Mus-musculus VINKQTPNKQIWLSSPSSGPKRYDWTG----KNWVYSH-DGVSLHELLAR 185 Danio-rerio VINKQTPNRQIWLSSPTSGPKRYDWTG----ERWVYTH-DAVPLHSLLSK 151 Drosophila-melanogaster VINRQTPNKQIWLSSPTSGPKRYDFVGTVAAGRWIYKH-SGQSLHELLQQ 170 Caenorhabditis-elegans VINKQSPNKQIWLSSPMSGPKRYDLE---EEGKWTYAH-DGEQLDSLLNR 119 Saccharomyces-cerevisiae VINKQPPNKQIWLASPLSGPNR--FDLLN--GEWVSLR-NGTKLTDILTE 164 Candida VINKOPPNKQIWLSSPISGPKR--YDLIG--GKWVTLR-DGSSLTSLLQE 160 Dictyostelium VINKQTPNRQIWWSSPLSGPKRFDYDSVE--KRWVDNR-DGTPLRQLLNS 181 Arabidopsis-thaliana VLNKQTPNRQIWMSSPVSGPSRFDWDRDA--NAWIYRR-TEAKLHKLLEE 174 Zea VINKQTPNKQIWLSSPVSGPSRFDWDATA--NGWIYKR-TGVNLVRLLEK 187 Schizosaccharomyces-pombe VINKQPPAHQIWLSSPVSGPKHYEYSLKS--KTWCSTR-DEGTLLGILSS 140 Cryptococcus-neoformans VLNKQPPNLQIWMSSPVSGPSRFEYIN----GSWVHHRKEGVKLGELLSG 149 Trypanosoma VLNKQAPNVQLWLSSPLSGPHHYDMTTSATGSVEWRADADGHSLEERLEK 160 *:*:*.*  *:* :** *** :                     *   * Homo-sapiens ELTKALKTK-LDLSSLAYSGKDA------ 210 Macaca-fascicularis ELTKALKTK-LDLSSLAYSGKDA------ 210 Bos-taurus ELTQALKTK-LDLSALAYSGKDTCCPAQC 217 Canis-familiaris ELTKAFKIK-LDLSSLAYSGKGT------ 211 Mus-musculus ELTKALNTK-LDLSSLAYSGKGT------ 207 Danio-rerio ELSIIFKTN-IDLSHLIHS---------- 169 Drosophila-melanogaster EIPGILKSQSVDFLRLPYCS--------- 190 Caenorhabditis-elegans EFRKILADDRIDFSRHV------------ 136 Saccharomyces-cerevisiae EVEKAISKS-Q------------------ 174 Candida EISSAIGQE-FTFENVEQ----------- 177 Dictyostelium EINTLCKYD-MEI---------------- 193 Arabidopsis-thaliana ELENLCGEP-IQLS--------------- 187 Zea EIGELCGTP-VEL---------------- 199 Schizosaccharomyces-pombe EFSKWFSRP-IEFKKSEDF---------- 158 Cryptococcus-neoformans ELKEILEKSGNEAAAGVWDGVGLP----- 173 Trypanosoma ELSDVVGTEVSLSSGAGETE--------- 180

INFORMAL SEQUENCE LISTING

SEQ ID NO: 1         10         20         30         40         50         60 MWTLGRRAVA GLLASPSPAQ AQTLTRVPRP AELAPLCGRR GLRTDIDATC TPRRASSNQR         70         80         90        100        110        120 GLNQIWNVKK QSVYLMNLRK SGTLGHPGSL DETTYERLAE ETLDSLAEFF EDLADKPYTF        130        140        150        160        170        180 EDYDVSFGSG VLTVKLGGDL GTYVIN K QTP NKQIWLSSPS SGPKRYDWTG KNWVYSHDGV        190        200        210 SLHELLAAEL TKALKTKLDL SSLAYSGKDA

REFERENCES

The following references are hereby incorporated herein by reference in their entirety.

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1. A method of treating Friedrich's Ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a compound of formula (I) or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof:

wherein: L is a linking group selected from the group consisting of —S(O)₂—NH—(CR₂)_(x)—, —S(O)₂—NH—N═, —S(O)₂—NH—N═(CR)— and —S(O)₂—NH—C(O)—NH—(CR₂)_(y)— wherein: R is H or C₁-C₄ alkyl, and x and y are each independently 0, 1 or 2; B is a 5- or 6-membered aromatic ring having 1 or 2 optional nitrogen heteroatoms; each R^(a) and each R^(b) are independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, oxo, halo, —NO₂, —CF₃, —CN, —OR₉, —SR₉, —C(O)R₉, —NHC(O)R₉, —C(O)OR₉, —OC(O)R₉, —NR₁₀R₁₁, —C(O)NR₁₀R₁₁, —NHR₉C(O)NR₁₀R₁₁, or —SO₂NR₁₀R₁₁, aryl, arylalkyl, cycloalkyl, or heterocycle, wherein: R₉, R₁₀, and R₁₁ are independently H, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle, each being optionally substituted with one to four substituents, and two R^(a) or two R^(b) together with the atoms to which they attach on the ring optionally form a ring; s is 0, 1, 2 or 3; and t is 1, 2, 3 or
 4. 2. The method of claim 1 wherein each R^(a) is independently C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or —OR₉.
 3. The method of claim 1 wherein each R^(b) is independently C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or —OR₉.
 4. The method of claim 1 wherein L is —S(O)₂—NH—N═(CH)— and one of the two carbons on ring A ortho to the attachment to L is unsubstituted.
 5. The method of claim 1 wherein B is selected from the group consisting of a phenyl group, an imidazole, a pyridine and a pyrimidine.
 6. The method of claim 1 wherein the compound has formula Ia:

and t is 1, 2 or
 3. 7. The method of claim 1 wherein the carbon on ring B para to the attachment point is unsubstituted.
 8. The method of claim 1 wherein the compound has formula Ic:

wherein t is 1, 2 or
 3. 9. The method of claim 1 wherein at least one R^(b) is —NO₂.
 10. The method of claim 6 wherein t is 2 or 3 and at least one R^(b) is a halogen.
 11. The method of claim 1 wherein s is 1, 2 or 3 and at least one R^(a) is a halogen.
 12. The method of claim 1 wherein the compound has formula XII:


13. The method of claim 12 wherein s is
 0. 14. The method of claim 1 wherein the method of treating Friedreich's Ataxia comprises inhibiting ubiquitination of frataxin in the subject.
 15. The method claim 1 wherein the method of treating Friedreich's Ataxia comprises elevating intracellar frataxin levels in the subject.
 16. The method of claim 1 wherein the subject is a mammal.
 17. The method of claim 16 wherein the mammal is a human. 18.-67. (canceled) 